Secondary aortoenteric fistulas—an analysis of 42 cases

Bergqvist, David; A, Alm; G, Claes; Drott, Carl Johan; Forsberg, Ola; Larsson, Monica; Lindhagen, A; Nordström, Sara; Nybacka, O.; Ribbe, Else; Spangen, Leif; Wiklund, B; Ängquist, K-A.

doi:10.1016/s0950-821x(87)80018-x

Cited by 43 publications

(14 citation statements)

References 25 publications

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“…Society, Coronado, Calif., Jan. [25][26][27][28]1990. Reprint requests: Kaj Johansen, MD, PhD, Department of Surgery, ZA-16, Harborview Medical Center, 325 Ninth Ave., Seattle, WA 98104.…”

Section: Presented At the Fifth Annual Meeting Of The Western Vascularmentioning

confidence: 99%

Aortic sepsis: Is there a role for in situ graft reconstruction?

Robinson

Johansen

1991

Journal of Vascular Surgery

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“…Society, Coronado, Calif., Jan. [25][26][27][28]1990. Reprint requests: Kaj Johansen, MD, PhD, Department of Surgery, ZA-16, Harborview Medical Center, 325 Ninth Ave., Seattle, WA 98104.…”

Section: Presented At the Fifth Annual Meeting Of The Western Vascularmentioning

confidence: 99%

Aortic sepsis: Is there a role for in situ graft reconstruction?

Robinson

Johansen

1991

Journal of Vascular Surgery

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“… The pooled incidence of secondary aortoenteric fistula at various anatomical locations ( 4 , 5 , 7 , 8 , 11 – 20 ). …”

mentioning

confidence: 99%

Critical gastrointestinal bleed due to secondary aortoenteric fistula

Malik

Üçbilek

Sherwal

2015

Journal of Community Hospital Internal Medicine Perspectives

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Secondary aortoenteric fistula (SAEF) is a rare yet lethal cause of gastrointestinal bleeding and occurs as a complication of an abdominal aortic aneurysm repair. Clinical presentation may vary from herald bleeding to overt sepsis and requires high index of suspicion and clinical judgment to establish diagnosis. Initial diagnostic tests may include computerized tomography scan and esophagogastroduodenoscopy. Each test has variable sensitivity and specificity. Maintaining the hemodynamic status, control of bleeding, removal of the infected graft, and infection control may improve clinical outcomes. This review entails the updated literature on diagnosis and management of SAEF. A literature search was conducted for articles published in English, on PubMed and Scopus using the following search terms: secondary, aortoenteric, aorto-enteric, aortoduodenal, aorto-duodenal, aortoesophageal, and aorto-esophageal. A combination of MeSH terms and Boolean operators were used to device search strategy. In addition, a bibliography of clinically relevant articles was searched to find additional articles (Appendix A). The aim of this review is to provide a comprehensive update on the diagnosis, management, and prognosis of SAEF.

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“…Non-bleeding fistulae may simply present as abdominal pain 7–9. The aetiology of secondary ADF or AEF appears to involve either sepsis, mechanical trauma between the graft and adherent intestine or a combination of both 3. Secondary AEF most frequently occur 36 months postoperatively but can vary in time to presentation from a few months to several years.…”

Section: Discussionmentioning

confidence: 99%

Primary aortoduodenal fistula: a rare entity with lethal effects

et al. 2016

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Primary aortoduodenal fistula (ADF) is a rare but morbid diagnosis. Here, we present the case of a patient with a primary ADF that resulted in mortality. Despite multiple attempts at radiographic and endoscopic diagnosis, the fistula did not declare itself until the patient exsanguinated. Given the morbidity associated with ADF and the imperfection of associated diagnostic studies, a high index of suspicion is required to make a timely diagnosis.

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Secondary aortoenteric fistulas—an analysis of 42 cases

Cited by 43 publications

References 25 publications

Aortic sepsis: Is there a role for in situ graft reconstruction?

Aortic sepsis: Is there a role for in situ graft reconstruction?

Critical gastrointestinal bleed due to secondary aortoenteric fistula

Primary aortoduodenal fistula: a rare entity with lethal effects

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